Knee arthrodesis following prosthesis removal. Use of …

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4. Kunutsor SK, Whitehouse MR, Lenguerrand E. . Re-infection outcomes following one- and two-stage surgical revision of infected knee prosthesis: a systematic review and meta-analysis. 2016;11(3):1-15

27488 Removal of knee prosthesis - Clear Health Costs

6. Otten R, van Roermund PM, Picavet HS. Trends in the number of knee and hip arthroplasties: considerably more knee and hip prostheses due to osteoarthritis in 2030. 2010;154:A1534

A two-stage revision operation is currently the most successful method for treating infection in patients with knee implants; 83 per cent of infections are treated this way [1]. A two-stage replacement first involves removal of the primary implant while retaining as much bone stock as possible and performing a thorough debridement. A temporary ‘spacer device’ is then implanted and is typically composed of an antibiotic cement to treat the infection together with intravenous antibiotics. After approximately six weeks the spacer is removed and a permanent implant replaced. Block spacers specifically designed for two-stage infections are an option used by some surgeons, see Figure 4. These can be loaded with a range of different antibiotics, such as Gentamicin, at various doses to help treat the infection but are not designed to offer stability or mobility to the patient. This often leads to soft-tissue contractures and issues with alignment over the treatment period.


previous knee injuries, the (partial) removal of a ..

Unfortunately, this means that in roughly 10% of patients, re-infection occurs and re-revision surgery is needed. Multiple revision surgeries ultimately diminish the chance to cure the infection due to poor bone stock and soft tissue injury. As a result, complete removal of the prosthesis resulting in a Girdlestone situation, arthrodesis or lower-limb amputation is, in most cases, inevitable in order to eliminate the infection. Antibiotic suppressive therapy (AST) can be subscribed for these patients as alternative treatment to suppress the infection without removal of the prosthesis as long as possible, and to avoid these disabling surgeries. This conservative antibiotic treatment approach can also be applied in patients with a poor prognosis due to cancer, and in elderly patients or patients with severe comorbidity that are not vital enough to undergo revision surgery.

removal of the infected prosthesis is necessary ..

Treatment was considered as failed, when: 1) the patient still reported joint pain during follow-up visits at the outpatient clinic, 2) when surgical intervention was needed to control the infection (i.e. removal of the prosthesis (Girdlestone or arthrodesis), revision surgery and/or amputation/dysarticulation) and/or 3) when death occurred due to the infection.

exposure of the arthritic knee joint (chondromalacia); removal of ..

For patients with a chronic prosthetic joint infection (PJI), removal of the infected prosthesis via a one- or two-stage revision surgery is required to cure the infection. The chance to cure the infection depends on multiple factors, including the affected joint, the microorganism(s) that are involved in the infection and several host-factors.- In general, if the infection is considered as difficult to treat, a two-stage surgical revision is indicated. Overall, the current success rates of revision surgery are quite high, on average, around 90% for both one-stage and two-stage procedures.-

2018 ICD-10-CM Diagnosis Code Z47.33: Aftercare …

I had my left knee replaced in Feb 2017. I am a bath remodeler and tile setter by trade. I was able to install a tile floor at 4 months. Yes it hurt and was difficult to get up and down and I experienced more inflammation and pain after, but with icing and rest; I was back to my normal pain level in a couple of days. I have continued to work on my knees with knee pads of course since then and it has gotten easier. A benefit is that it forces me to more bending movement and I actually feel less stiff when working. I am an avid deer hunter and in Nov was able to drag a deer down a steep mountain with a drop of about 1500 ft without too much difficulty. Before my TKR this would not have been possible. People said I looked liked Grandpa McCoy when walking. My right knee is scheduled this Feb and though it’s been a hard year, I am optimistic.